Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.05 / $7.91 / $10.62	Facility	26	$7.05	$7.91	$10.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $30.91 / $60.31	Professional		$27.02	$30.91	$60.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $7.82 / $12.99	Professional	26	$7.33	$7.82	$12.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $22.19 / $41.05	Professional	TC	$19.46	$22.19	$41.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $32.58 / $32.58	Professional		$25.10	$32.58	$32.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.19 / $6.32 / $9.73	Professional	26	$6.19	$6.32	$9.73
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $18.62 / $18.62	Professional	TC	$18.62	$18.62	$18.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $27.45 / $46.67	Professional		$23.33	$27.45	$46.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $9.42 / $14.91	Professional	26	$7.96	$9.42	$14.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.32 / $18.03 / $31.16	Professional	TC	$15.32	$18.03	$31.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $12.45 / $42.48	Professional		$8.44	$12.45	$42.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $40.21 / $64.59	Professional		$27.87	$40.21	$64.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $12.38 / $19.73	Professional	26	$8.27	$12.38	$19.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.17 / $28.97 / $46.73	Professional	TC	$19.17	$28.97	$46.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $32.34 / $32.34	Professional		$14.70	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $34.60 / $48.72	Professional		$25.45	$34.60	$48.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $9.24 / $13.31	Professional	26	$7.78	$9.24	$13.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.66 / $22.16 / $32.84	Professional	TC	$17.66	$22.16	$32.84